COMPARE THE AWAKEING QUALITY AFTER ANESTHESIA OF DESFURAN AND TCI PROPOFOL UNDER GENERAL ANESTHESIA WITH LARYNGEAL MASK AIRWAY FOR URETERAL LITHOTRIPSY AT HANOI MEDICAL UNIVERSITY HOSPITAL IN 2022
Main Article Content
Abstract
Objective: To compare the awakening quality after anesthesia of Desfuran (DES) and TCI Propofol (TCI) under general anesthesia with laryngeal mask airway for ureteral lithotripsy. Methods: This is a randomized controlled trial. 114 cases of ureteral lithotripsy under general anesthesia with laryngeal mask airway were randomly assigned to two group (DES or TCI). Primary outcome was time to awakening, time to extubation and awakening quality
Secondary outcomes were the effect on hemodynamics, side effect, the cost of two types of anesthesics. Results: The emergence time (including awakening time, extubation, and full recovery) in the DES group was significantly shorter than the TCI group (p<0.05). However, the quality of postoperative recovery according to the postQRS scoring system did not show significant differences. The average cost of anesthesia drugs per surgery case in the Desflurane group was significantly lower compared to the TCI Propofol group (p < 0.05). The incidence of side effects was low in both groups. Conclusions: Anesthesia maintenance with Desflurane will shorten time to awakening, the cost of anesthetics is less than TCI Propofol under general anesthesia with laryngeal mask airway for ureteral lithotripsy.
Article Details
Keywords
Desfluran, TCI propofol, ureteral lithotripsy, awakening quality, the cost of anesthetics
References
I. 2006.
2. PGS.TS Hoàng Văn Minh, Khái niệm và phương pháp đánh giá kinh tế y tế. Đại Học Y Hà Nội: 2015.
3. Varkey, J., Cost Analysis of Desflurane and Sevoflurane: An Integrative Review and Implementation Project Introducing the Volatile Anesthetic Cost Calculator. 2012.
4. Kaur A, J. A., Sehgal R, E al. Hemodynamics and early recovery chacteristics of desfluran versus sevofluran in bariatric surgery. J Anaesthesiol Clin Pharmacol. 2013.
5. Gulcan Erk, G. E., Anesthesia for laparoscopic cholecystectomy: comparative evaluation- desflurane/sevoflurane vs propofol. Middle east J Anesthesiol 2007.
6. Xiaoqian Deng, T. Z., Clinical comparison of propofol-remifentanil TCI with sevoflurane induction/maintenance anesthesia in laparoscopic cholecystectomy. 2014.
7. Jigna Shah, N. V., Comparison of hemodynamic stability and recovery proile with sevolurane as inhalational agent versus propofol as total intravenous anesthesia during laparoscopic surgeries. 2018.
8. Xinchun Meia, H.-L. Z., Cheng Lic, Xin Mad, Hui Zhenge, Edward Marcantoniof Zhongcong Xieg,∗ and Yuan Shenh,∗, The Effects of Propofol and Sevoflurane on Postoperative Delirium in Older Patients: A Randomized Clinical Trial Study. 2020.